Stent: No ke aha a pehea e hoʻohana ai
Anter
- No ke aha wau e pono ai i kahi stent?
- Pehea wau e hoʻomākaukau ai no kahi stent?
- Pehea e hana ʻia ai kahi stent?
- He aha nā pilikia e pili ana i ka hoʻokomo ʻana i kahi stent?
- He aha ka hana ma hope o ka hoʻokomo stent?
He aha ka stent?
ʻO kahi stent kahi paipu liʻiliʻi i hiki i kāu kauka ke hoʻokomo i loko o kahi alaloa ākea e hāmama. Hoʻomaha hou ka stent i ke kahe o ke koko a i ʻole nā wai ʻē aʻe, e pili ana i kahi i kau ʻia ai.
Hana ʻia nā stent o nā mea kila a palaka paha. ʻO nā stent grafts nā stent nui i hoʻohana ʻia no nā aʻa nui. Hana ʻia lākou i lole lole loea. Hiki ke uhi ʻia i nā stents me nā lāʻau e kōkua i ka mālama ʻana i ke aʻa i ālai ʻia mai ka pani ʻana.
No ke aha wau e pono ai i kahi stent?
Pono mau ʻia nā stent i ka wā e ālai ai ka plake i kahi kīʻaha koko. Hana ʻia ka plaque i ka kolesterol a me nā mea ʻē aʻe e hoʻopili i nā paia o kahi moku.
Pono ʻoe i stent i ka manawa o kahi kaʻina pilikia. ʻOi aku ka maʻamau o ke kaʻina hana pōpilikia inā keakea ʻia kahi aʻa o ka puʻuwai i kapa ʻia he aʻa coronary. E hoʻokau mua kāu kauka i kahi catheter i loko o ke aʻa coronary i ālai ʻia. E ʻae kēia iā lākou e hana i kahi balloon angioplasty e wehe i ka paʻa. E hoʻokau lākou i kahi stent i ke aʻa e wehe ai ka moku.
Hiki ke kūpono nā stents e pale ai i ka aneurysms mai ka haki ʻana i kou lolo, aorta, a i ʻole nā kīʻaha koko ʻē aʻe.
Ma waho o nā kīʻaha koko, hiki i nā stent ke wehe i kekahi o nā passageways aʻe:
- nā kaha bile, ʻo ia nā paipu e lawe i ka pā i a mai nā ʻōnaehana digestive
- ʻo bronchi, nā alaloa liʻiliʻi i nā akemāmā
- ureter, ʻo ia nā paipu e halihali i ka mimi mai nā puʻupaʻa i ka pūpū
Hiki ke pale a hōʻino ʻia paha kēia mau paipu e like me ka hiki i nā kīʻaha koko.
Pehea wau e hoʻomākaukau ai no kahi stent?
Aia ka mākaukau no kahi stent i ka ʻano o ka stent e hoʻohana ʻia ana. No kahi stent i waiho ʻia i loko o kahi kīʻaha koko, hoʻomākaukau mau ʻoe i ka lawe ʻana i kēia mau ʻanuʻu:
- E haʻi i kāu kauka e pili ana i nā lāʻau, nā mea kanu, a i ʻole nā mea hoʻopihapiha āu e lawe ai.
- Mai lawe i nā lāʻau e paʻakikī ai i kou koko ke kāpili, e like me ka aspirin, clopidogrel, ibuprofen, a me naproxen.
- E hāhai i nā ʻōlelo aʻoaʻo a kāu kauka e pili ana i nā lāʻau ʻē aʻe āu e hōʻoki ai i ka lawe ʻana.
- E haʻalele i ka puhi inā puhā ʻoe.
- E hoʻomaopopo i kāu kauka i nā ʻano maʻi, e like me ke anuanu a me ka flu.
- Mai inu i ka wai a i ʻole nā wai ʻē aʻe i ka pō ma mua o kāu ʻoki.
- E lawe i nā lāʻau i kuhikuhi ʻia e kāu kauka.
- E hōʻea i ka haukapila me ka manawa nui e hoʻomākaukau ai no ka ʻoki ʻana.
- E hāhai i nā ʻōkuhi ʻē aʻe a kāu kauka i hāʻawi ai iā ʻoe.
E loaʻa iā ʻoe ka lāʻau numbing ma ka pūnaewele o ka ʻokiʻoki. E loaʻa iā ʻoe kekahi lāʻau lapaʻau intravenous (IV) e kōkua ai iā ʻoe e hoʻomaha i ka wā o ke kaʻina hana.
Pehea e hana ʻia ai kahi stent?
Nui a hewahewa nā ala e hoʻokomo ai i kahi stent.
Hoʻokomo pinepine kāu kauka i kahi stent e hoʻohana nei i kahi hana invasive minimally. E hana lākou i kahi ʻokiʻoki liʻiliʻi a hoʻohana i ka catheter e alakaʻi i nā pono hana kūikawā ma o kou kīʻaha koko e kiʻi i kahi e pono ai kahi stent. ʻO kēia lūlū maʻamau i ke kī a me ka lima. ʻO kekahi o ia mau pono hana he kāmela paha ma ka hopena e kōkua i kāu kauka e alakaʻi i ka stent.
I ka wā o ke kaʻina hana, hoʻohana paha kāu kauka i kahi ʻano kiʻi i kapa ʻia he angiogram e kōkua i ke alakaʻi ʻana i ka stent ma loko o ka moku.
Ke hoʻohana nei i nā pono pono, e ʻike kāu kauka i ka moku i wāwahi ʻia a i ālai ʻia a hoʻokomo i ka stent. A laila e lawe lākou i nā mea kani mai kou kino a pani i ka ʻokiʻoki.
He aha nā pilikia e pili ana i ka hoʻokomo ʻana i kahi stent?
ʻO nā kaʻina hana ʻokiʻoki e hāpai i nā pilikia. Ke hoʻokomo nei i kahi stent i koi ʻia i ke komo ʻana i nā aʻa o ka puʻuwai a i ʻole ka lolo. ʻO kēia ke kumu o ka hoʻonui ʻana i ka hopena o nā hopena maikaʻi ʻole.
ʻO nā pilikia e pili ana i ka stenting pū kekahi:
- kahi hopena maʻi ʻino i nā lāʻau a i ʻole nā kala i hoʻohana ʻia i ke kaʻina hana
- nā pilikia hanu ma muli o ka anesthesia a i ʻole ka hoʻohana ʻana i stent i ka bronchi
- kahe ana ke koko
- kahi paʻa o ke aʻa
- huʻi koko
- he puʻuwai puʻuwai
- he maʻi maʻi o ka moku
- nā pōhaku hakuʻala ma muli o ka hoʻohana ʻana i kahi stent i nā ureter
- he haiki hou ʻana o ke aʻa
ʻO nā hopena āpau e loaʻa me nā hahau a me ka hopu ʻana.
Kakaikahi nā pilikia i hōʻike ʻia me nā stent, akā aia kahi manawa liʻiliʻi e hōʻole ai ke kino i ka stent. Pono e kūkākūkā i kēia pilikia me kāu kauka. Loaʻa i nā Stents nā mea hao, a ʻaʻohe maʻi a kūpikipiki paha kekahi poʻe i nā metala. Paipai nā mea hana Stent inā ʻike kekahi i ka metala, ʻaʻole pono e loaʻa iā lākou kahi stent. E kamaʻilio me kāu kauka no ka ʻike hou aku.
Inā loaʻa iā ʻoe nā pilikia kahe, pono ʻoe e loiloi e kāu kauka. Ma ka laulā, pono ʻoe e kūkākūkā i kēia mau pilikia me kāu kauka. Hiki iā lākou ke hāʻawi iā ʻoe i ka ʻike hou loa e pili ana i kāu mau manaʻo pilikino.
ʻOi aku ka nui o nā makaʻu o ka loaʻa ʻole o kahi stent ma mua o nā makaʻu e pili ana i ka loaʻa ʻana o hoʻokahi. Hiki i ke kahe o ke kahe o ke koko a i ʻole nā moku i hoʻopaʻa ʻia ke hana i nā hopena koʻikoʻi a make.
He aha ka hana ma hope o ka hoʻokomo stent?
ʻIke paha ʻoe i kahi ʻeha ma ka pūnaewele incision. Hiki i nā painkillers ʻeha ke mālama i kēia. E kauoha paha kāu kauka i ka lāʻau anticoagulant e pale ai i ka hoʻopili ʻana.
Makemake pinepine kāu kauka iā ʻoe e noho i ka haukapila i ka pō. Kōkua kēia i ka hōʻoia ʻaʻohe pilikia. Pono ʻoe e noho ʻoi aku ka lōʻihi inā makemake ʻoe i ka stent ma muli o kahi hanana coronary, e like me ka puʻuwai puʻuwai a i ʻole ka hahau.
Ke hoʻi ʻoe i ka home, inu nui i nā wai a kaohi i ka hoʻoikaika kino no kekahi manawa. E mālama pono i nā ʻōlelo aʻoaʻo a kāu kauka.